Differential diagnosis Radicular lesions C6 and C7

Reverse Carpal Tunnel Syndrome

Alternative Ways to Treat Carpal Tunnel Syndrome

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Thoracic outlet syndrome Thalamic infarcts

Therapy Depends on the etiology and electrophysiology.

CTS: forearm splint at nighttime, ultrasound at wrist.

In acute CTS, CTS with motor impairment, or persistent entrapment despite conservative therapy: operative split of carpi transversum, either via endoscopic or open technique. Prognosis for both techniques is good (85% success).

Atroshi R, Johnsson R, Ornstein R (1997) Endoscopic carpal tunnel release: a prospective References assessment of 255 consecutive cases. J Hand Surg (Br) 22: 42-47

Cseuz KA, Thomas JE, Lambert EH, et al (1966) Long term results of operation for carpal tunnel syndrome. Mayo Clin Proc 41: 232-241

Harness D, Sekeles E (1971) The double anastomotic innervation of the thenar muscles. J Anat 109: 461-466

Hopf HC (1990) Forearm ulnar to median anastomosis of sensory axons. Muscle Nerve 13: 654-656

Padua L, Paciello N, Aprile I, et al (2000) Damage to peripheral nerves following radiotherapy at the wrist. J Neurol 247: 313-314

Rosenbaum RB, Ochoa JL (1993) Carpal Tunnel Syndrome and other disorders of the median nerve. Butterworth Heinemann, Boston

Todnem K, Lundemo G (2000) Median nerve recovery in carpal tunnel syndrome. Muscle Nerve 23: 1555-1560

Zifko UA, Worseg AP (1999) Das Karpaltunnelsyndrom. Diagnose und Therapie. Springer, Wien New York

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